| NPI | 1295796894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 52175) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 60434) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 44302) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME128095) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-09-03 |